Cosmetic & Reconstructive Surgery Expert Forum
auxiliary breast tissue removal and insurance
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Questions in the Cosmetic Surgery forum are answered by Dr. Howard Rosenberg and Dr. Wolfeld. Topics include bariatric surgery reconstruction, breast augmentation, chemical peels, cosmetic or reconstructive surgery, face lift, nose reconstruction, and tummy tucks.

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auxiliary breast tissue removal and insurance

Is there any way to get auxiliary breast tissue removed and covered by insurance? My wife has been to 2 dr.'s and a surgeon so far and they all say it is "cosmetic". I do not see how this can be deemed "cosmetic" when she is in alot of pain when they swell up 3-4 times/month. Any help would be appreciated.
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There are several issues regarding axillary breast tissue removal covered by insurance carriers.  First, it is a relatively unusual procedure often performed with liposuction, but also sometimes with direct resection of tissue.  It is unclear that your carrier will be amenable to covering this procedure.  Second, the amount of effect required to obtain insurance pre-authorization for this unusual procedure by any surgeon would be quite extensive probably requiring repeated letters, photos and multiple phone calls on hold with no certainty of obtaining authorization.  Finally, even if such authorization is ultimately obtained, the insurance reimbursement for such a procedure would likely be very low, making this effort not very attractive.
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